Dear Editor,
The ageing population in Singapore poses a growing challenge and need to realign current health services and care management pathways to treat older adults with complex medical conditions.1,2 This group of patients typically have multiple comorbidities and disabilities and are at risk of poor outcomes after they are discharged home from hospitals. Consequently, they require frequent admissions to hospitals. To address the issue of frequent readmissions of older adults with complex care needs, transitional care (TC) is offered as a care management model that can help to ameliorate this situation.
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